一个随机对照试验的患者导航员的医院出院后糖尿病足护理:全面的援助和资源有效的糖尿病足导航 (CARE-D-Foot-Nav) 研究协议
Marcos C Schechter1,2, Elizabeth C Rhodes3,4, Hui Shao3
1Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, GA.
medRxiv : the preprint server for health sciences
|December 8, 2025
概括
一个新的患者导航计划,CARE-D-Foot-Nav,旨在改善糖尿病足的愈合. 这项试验将评估导航是否减少截肢并提高DFU护理结果.
科学领域:
- 足部医学是一门专业.
- 血管外科 血管外科
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病足 (DFU) 是肢体丧失的主要原因,在美国截肢率上升.
- 有效的DFU管理需要一个多学科的方法来解决血糖控制,伤口护理,血管疾病和感染.
- 分断的护理服务往往会阻碍愈合,导致可预防的截肢.
研究的目的:
- 评估"为糖尿病患者有效脚部导航提供全面援助和资源" (CARE-D-Foot-Nav) 计划的有效性.
- 为了确定患者导航是否可以克服DFU愈合的障碍,并减少肢体损失.
- 评估CARE-D-Foot-Nav对DFU愈合率和患者结果的影响.
主要方法:
- 一项随机对照试验,涉及270名入院的DFU成人患者.
- 参与者将被随机分配1:1接受CARE-D-Foot-Nav干预或通常的护理.
- 主要结果是出院20周后DFU完全愈合,次要结果包括患者报告和经济措施.
主要成果:
- 本部分将报告20周后DFU愈合率的发现.
- 分析将包括患者报告的结果和经济数据.
- 结果将决定与常规护理相比,CARE-D-Foot-Nav干预措施的有效性.
结论:
- CARE-D-Foot-Nav是第一个随机对照试验,用于测试DFU护理的患者导航.
- 积极的发现可以彻底改变DFU的护理服务,并大大减少可预防的肢体损失.
- 这项计划有可能改善糖尿病足患者的愈合结果.
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